Organization
CLINICAS DEL CAMINO REAL INC
Active
Other names
Clinicas del Camino Real, Inc. Simi Valley Madera
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD BENHARASH (CHIEF FINANCIAL OFFCIER)
(805) 659-1740
Entity
Organization
Contact information
Practice address
1424 MADERA RD, SIMI VALLEY, CA 93065-3000
(805) 522-5722
(805) 672-0107
Mailing address
200 S WELLS RD, SUITE 200, VENTURA, CA 93004-1377
(805) 659-1740
(805) 659-9959
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
550001837
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550001837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720362056
—
CA
Enumeration date
10/05/2011
Last updated
06/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us